NPI 1740586833

Fulton Street Medical, PC

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Farmingdale, NY

Practice location

Address: 101 Fulton Street, Farmingdale, NY 11735
Phone: (151) 575-5585

Authorised official

Name: Joseph Ashley
Title: President
Phone: (515) 755-5855

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 133799 (NY)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in New York →

Registry record

NPI: 1740586833
Entity type: Organization
NPI issued: 7 Feb 2011
Record last updated: 7 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.